PMID- 16170705
OWN - NLM
STAT- MEDLINE
DCOM- 20051115
LR  - 20220310
IS  - 1438-9029 (Print)
IS  - 1438-9010 (Linking)
VI  - 177
IP  - 10
DP  - 2005 Oct
TI  - [Multidetector CT for the diagnosis of congenital vascular anomalies and 
      associated complications in newborns and infants].
PG  - 1366-72
AB  - PURPOSE: To assess the value of multidetector CT (MDCT) for evaluation of 
      vascular anomalies (VA) and associated complications in newborns and infants. 
      MATERIALS AND METHODS: Seventy-five children (mean age: 9 +/- 6 months, range: 2 
      weeks to 24 months) with VA were examined using MDCT (4-, 8- or 16-row; 
      collimation 0.5-1.25 mm; scan time 7-30 s), which was performed under controlled 
      ventilation or free breathing. Image quality was rated using a 5-point scale. 
      Image findings were correlated to echocardiography, conventional catheter 
      angiography (CCA), bronchoscopy, and intraoperative findings. RESULTS: High 
      quality MDCT data were almost free of cardiac and respiratory motion. In all 
      cases, VA morphology and topography in relation to adjacent structures, e. g. 
      tracheal and esophageal compression caused by an aortic ring, could be assessed 
      exactly and allowed the final diagnosis. Even aberrant vessels, such as 
      aorto-pulmonary collaterals (MAPCA) with a diameter of less than 1 mm, could be 
      identified and excellently visualized. Eighty percent (60/75) of all patients had 
      benefited from the MDCT: in 31 patients CCA was neither necessary to perform 
      surgical planning nor to exclude a VA; in an additional 29 patients radiation 
      doses and sedation time due to interventional procedures could be reduced 
      markedly. CONCLUSIONS: MDCT can now be regarded as the modality of choice as a 
      minimally invasive, robust, and accurate technique for the diagnosis of complex 
      VA, their potentially life-threatening complications and preoperative planning 
      even in newborns and infants. Its accuracy for detecting VA appears equivalent to 
      CCA while it is more accurate in delineating potential life-threatening 
      complications.
FAU - Eichhorn, J G
AU  - Eichhorn JG
AD  - Universitatskinderklinik, Padiatrische Kardiologie, Heidelberg. 
      eichhorn.12@osu.edu
FAU - Fink, C
AU  - Fink C
FAU - Long, F
AU  - Long F
FAU - Arnold, R
AU  - Arnold R
FAU - Ley, S
AU  - Ley S
FAU - Ulmer, H
AU  - Ulmer H
FAU - Kauczor, H-U
AU  - Kauczor HU
LA  - ger
PT  - Clinical Trial
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
TT  - Multi-Detektor-CT zur Diagnostik angeborener Gefassanomalien und ihrer 
      Begleitbefunde bei Neugeborenen und Kleinkindern.
PL  - Germany
TA  - Rofo
JT  - RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin
JID - 7507497
SB  - IM
MH  - Arteriovenous Malformations/complications/*diagnostic imaging
MH  - Child, Preschool
MH  - Female
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Male
MH  - Reproducibility of Results
MH  - Sensitivity and Specificity
MH  - Tomography, X-Ray Computed/*instrumentation/*methods
MH  - Vascular Diseases/*congenital/*diagnostic imaging
EDAT- 2005/09/20 09:00
MHDA- 2005/11/16 09:00
CRDT- 2005/09/20 09:00
PHST- 2005/09/20 09:00 [pubmed]
PHST- 2005/11/16 09:00 [medline]
PHST- 2005/09/20 09:00 [entrez]
AID - 10.1055/s-2005-858563 [doi]
PST - ppublish
SO  - Rofo. 2005 Oct;177(10):1366-72. doi: 10.1055/s-2005-858563.